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Colovesical Fistulae: The Varying Aetiologies

The most common presenting symptoms of colovesical fistulae (CVF) are pneumaturia and fecaluria. The most important aspect remains not only to investigate the aetiology, and the degree of both severity and complexity, but also the subsequent influence of this on overall management. In a younger popu...

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Detalles Bibliográficos
Autores principales: Zafar, Mansoor, Lee, Sara, Tieger, Serena, Sacre, William, Whitehead, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649672/
https://www.ncbi.nlm.nih.gov/pubmed/34900497
http://dx.doi.org/10.7759/cureus.20025
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author Zafar, Mansoor
Lee, Sara
Tieger, Serena
Sacre, William
Whitehead, Mark
author_facet Zafar, Mansoor
Lee, Sara
Tieger, Serena
Sacre, William
Whitehead, Mark
author_sort Zafar, Mansoor
collection PubMed
description The most common presenting symptoms of colovesical fistulae (CVF) are pneumaturia and fecaluria. The most important aspect remains not only to investigate the aetiology, and the degree of both severity and complexity, but also the subsequent influence of this on overall management. In a younger population, management usually consists of curative surgery. However, this may not be possible in older patients where surgical candidacy is a genuine concern and a clinical challenge arises relating to pursuing a conservative strategy. We attempted to briefly outline how two patients were managed with a similar non-surgical approach due to frailty. These cases attempt to highlight the importance of multi-disciplinary specialty input, with a view to optimising patient care.
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spelling pubmed-86496722021-12-10 Colovesical Fistulae: The Varying Aetiologies Zafar, Mansoor Lee, Sara Tieger, Serena Sacre, William Whitehead, Mark Cureus Internal Medicine The most common presenting symptoms of colovesical fistulae (CVF) are pneumaturia and fecaluria. The most important aspect remains not only to investigate the aetiology, and the degree of both severity and complexity, but also the subsequent influence of this on overall management. In a younger population, management usually consists of curative surgery. However, this may not be possible in older patients where surgical candidacy is a genuine concern and a clinical challenge arises relating to pursuing a conservative strategy. We attempted to briefly outline how two patients were managed with a similar non-surgical approach due to frailty. These cases attempt to highlight the importance of multi-disciplinary specialty input, with a view to optimising patient care. Cureus 2021-11-29 /pmc/articles/PMC8649672/ /pubmed/34900497 http://dx.doi.org/10.7759/cureus.20025 Text en Copyright © 2021, Zafar et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Zafar, Mansoor
Lee, Sara
Tieger, Serena
Sacre, William
Whitehead, Mark
Colovesical Fistulae: The Varying Aetiologies
title Colovesical Fistulae: The Varying Aetiologies
title_full Colovesical Fistulae: The Varying Aetiologies
title_fullStr Colovesical Fistulae: The Varying Aetiologies
title_full_unstemmed Colovesical Fistulae: The Varying Aetiologies
title_short Colovesical Fistulae: The Varying Aetiologies
title_sort colovesical fistulae: the varying aetiologies
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649672/
https://www.ncbi.nlm.nih.gov/pubmed/34900497
http://dx.doi.org/10.7759/cureus.20025
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